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Side view of a bloated abdomen (1 of 6) Front view (2 of 6) Greater Distention (3 of 6) Front view of a swollen belly (4 of 6) X-ray of trapped air (5 of 6) Side view (6 of 6) Shortness of Breath Caused by R-CPD Persons who cant burp and have the full-blown R-CPD syndrome often say that when the bloating and distention are particularly badand especially when they have a sense of chest pressure, they also have a feeling of shortness of breath